Elevator and endoscope

ABSTRACT

An example elevator attachable to and detachable from an endoscope including a lever pivotally provided at a distal end of an insertion part of the endoscope and a pivot part causing the lever to pivot, includes: a first elevating part having a recess at one surface thereof; a second elevating part protruding from an edge of the first elevating part; and a lever connection part located at an end of the second elevating part and connected to the lever.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is the national phase under 35 U.S.C. § 371 of PCTInternational Application No. PCT/JP2017/037111 which has Internationalfiling date of Oct. 13, 2017 and designated the United States ofAmerica.

FIELD

The technology herein relates to an elevator and an endoscope.

BACKGROUND

An endoscope having an elevator at the distal end of a channel passingthrough the inside of an insertion part has been used.

The elevator is used to bend a treatment tool or the like inserted intothe channel and guide the tool to have a desired orientation.

An endoscope provided with a wall between an elevator and an elevatingwire which moves the elevator is disclosed (Japanese Patent ApplicationLaid-Open Publication No. 8-56900).

SUMMARY

The endoscope disclosed in Japanese Patent Application Laid-OpenPublication No. 8-56900 has a complicated structure around the elevator,which requires a lot of trouble in cleaning.

According to an aspect, an object is to provide an elevator or the likewhich is easily attached to and detached from the distal end of anendoscope.

An elevator attachable to and detachable from an endoscope including alever pivotally provided at a distal end of an insertion part of theendoscope and a pivot part causing the lever to pivot, comprises: afirst elevating part having a recess at one surface thereof; a secondelevating part protruding from an edge of the first elevating part; anda lever connection part located at an end of the second elevating partand connected to the lever.

According to an aspect, an elevator or the like which is easily attachedto and detached from the distal end of an endoscope may be provided.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 illustrates an outer appearance of an endoscope;

FIG. 2 is a perspective view of a distal end of an insertion part;

FIG. 3 illustrates a state where a treatment tool tip end protrudes fromthe distal end of the insertion part;

FIG. 4 is a front view of the distal end of the insertion part;

FIG. 5 is a front view illustrating the state where the endoscope cap isdetached from the distal end of the insertion part;

FIG. 6 is a back view illustrating the state where the endoscope cap isdetached from the distal end of the insertion part;

FIG. 7 is a perspective view of the distal end of the insertion partfrom which the endoscope cap is detached;

FIG. 8 is a perspective view of the distal end of the insertion partfrom which the endoscope cap and a lever chamber lid are detached;

FIG. 9 is a perspective view of the endoscope cap when viewed from theattachment side to the endoscope;

FIG. 10 is a perspective view of the endoscope cap when viewed from thebottom side of a cover;

FIG. 11 is a perspective view of an elevator;

FIG. 12 is a front view of the elevator;

FIG. 13 is a side view of the elevator;

FIG. 14 is a perspective view of a pedestal;

FIG. 15 is a front view of the elevator and the pedestal combinedtogether;

FIG. 16 is a back view of the elevator and the pedestal combinedtogether;

FIG. 17 is a section view of an endoscope cap taken along the lineXVII-XVII in FIG. 5;

FIG. 18 is a perspective view of a lever;

FIG. 19 is a section view of the insertion part taken along the lineXIX-XIX in FIG. 4;

FIG. 20 is a section view of the insertion part taken along the lineXX-XX in FIG. 4;

FIG. 21 is a section view of the insertion part in which an elevator iselevated;

FIG. 22 is a section view of an insertion part according to Embodiment2;

FIG. 23 is a section view of the insertion part taken along the lineXXIII-XXIII in FIG. 22;

FIG. 24 is a section view of an insertion part according to Embodiment3;

FIG. 25 is a front view of the distal end of an insertion part accordingto Embodiment 4; and

FIG. 26 is a front view of the distal end of an insertion part accordingto Embodiment 5.

DETAILED DESCRIPTION OF NON-LIMITING EXAMPLE EMBODIMENTS Embodiment 1

FIG. 1 illustrates the outer appearance of an endoscope. An endoscope 10according to the present embodiment is a flexible endoscope directed toan upper gastrointestinal tract. The endoscope 10 has an operation part20 and an insertion part 30. The operation part 20 has an elevatoroperation lever 21, a channel inlet 22 and a bending knob 23. Theoperation part 20 is connected to a video processor, a light sourcedevice, a display device and so forth that are not illustrated.

The insertion part 30 is long, and has one end connected to theoperation part 20. The insertion part 30 has, from the operation part 20side, a flexible section 12, a bending section 13 and an endoscope cap50. The flexible section 12 is flexible. The bending section 13 bends inresponse to the operation of the bending knob 23. The endoscope cap 50covers a rigid distal end portion 31 (see FIG. 2) that is continuousfrom the bending section 13.

In the endoscope 10 according to the present embodiment, the endoscopecap 50 may be attached to or detached from the distal end portion 31.The endoscope cap 50 has a cover 52 which is an exterior member and anelevator 80 (see FIG. 2). The detailed structure of the endoscope cap 50will be described later.

In the following description, the longitudinal direction of theinsertion part 30 will be referred to as an insertion direction.Likewise, along the insertion direction, the side closer to theoperation part 20 will be referred to as a proximal side, whereas theside farther from the operation part 20 will be referred to as a distalside.

FIG. 2 is a perspective view of a distal end of the insertion part 30.FIG. 3 illustrates the state where a treatment tool tip end 41 protrudesfrom the distal end of the insertion part 30. The configuration of theendoscope 10 according to the present embodiment will be described withreference to FIGS. 1 to 3.

A distal end portion 31 located at the distal end of the bending section13 has, on one side thereof, an observation window 36 and anillumination window 37 that are aligned along the insertion direction.The illumination window 37 is located more toward the distal side thanthe observation window 36. The distal end portion 31 has a channeloutlet 35 at the proximal side on the other side thereof. An elevatingpart 83 is disposed at the distal side of the channel outlet 35. Thecover 52 which covers the distal end portion 31 has a substantiallyrectangular window part 53 at a portion corresponding to the observationwindow 36, illumination window 37 and elevating part 83. The side of thewindow part 53 on the proximal side has a stepped shape with one stepwhere the elevating part 83 side is located on the proximal side whereasthe observation window 36 side is located on the distal side, and has astopper 531 at the middle part.

The illumination window 37 directs the illumination light emitted from alight source device (not illustrated). Through the observation window36, it is possible to optically observe the area irradiated with theillumination light. The endoscope 10 according to the present embodimentis of a so-called side view type, in which a viewing direction foroptical observation is a direction intersecting the insertion direction.The endoscope 10 may also be of a forward oblique view type with aviewing direction somewhat inclined toward the distal side or a backwardoblique view type with a viewing direction somewhat inclined toward theproximal side.

The channel inlet 22 and the channel outlet 35 are connected with eachother by a channel 34 running through the inner side of the flexiblesection 12 and the bending section 13. The treatment tool 40 may beinserted through the channel inlet 22 from the treatment tool tip end41, to protrude the treatment tool tip end 41 from the channel outlet35.

As illustrated by the solid line in FIG. 3, the treatment tool tip end41 protrudes while curving gently over the elevating part 83. If theelevator operation lever 21 is operated as illustrated by the arrow inFIG. 1, a lever 60 (see FIG. 8) moves as described later, and anelevator 80 also moves in conjunction with the lever 60. As the elevator80 moves, the treatment tool tip end 41 located over the elevator 80 isbent toward the proximal side, i.e. the operation part 20 side, asindicated by the arrows and dashed-two dotted lines in FIGS. 1 and 3.The movement of the treatment tool tip end 41 is photographed by animage sensor (not illustrated) or the like through the observationwindow 36, and is displayed on a display device (not illustrated).

The treatment tool 40 is an instrument for treatment, for example, ahigh-frequency knife, forceps or contrast tube. The instrument to beinserted into the channel 34 is not limited to the instrument fortreatment. For example, an instrument for observation such as anultrasound probe or ultra-slim endoscope may also be inserted into thechannel 34 and used. In the following description, the treatment tool 40includes an instrument for observation.

The movement of the elevator 80 as described above may be expressed as“the elevator 80 is elevated” in the description below. The bending ofthe treatment tool tip end 41 by being pushed by the elevated elevator80 may also be expressed as “the treatment tool 40 is elevated” in thedescription below. The operation of the elevator operation lever 21 mayadjust the degree of elevation of the treatment tool 40.

FIG. 4 is a front view of the distal end of the insertion part 30. Thecover 52 has a rectangular concave part 48 in the vicinity of theopening end 56. Each side of the concave part 48 extends downward fromthe surface of the cover 52 so as to be substantially perpendicularthereto. The concave part 48 is a portion which is thinner than theother parts of the cover 52 in the circumferential direction, and islikely to flex when an external force is applied thereto by, forexample, pressing the portion with a finger. The concave part 48 is anexample of a flexible part according to the present embodiment.

FIG. 5 is a front view illustrating the state where the endoscope cap 50is detached from the distal end of the insertion part 30. FIG. 6 is aback view illustrating the state where the endoscope cap 50 is detachedfrom the distal end of the insertion part 30. The user of the endoscope10 holds the bending section 13 with one hand while pinching the cover52 with two fingers of the other hand. Here, if one of the two fingerspresses the concave part 48, the other finger naturally presses a regionindicated by P in FIG. 6. After pressing and lightly deforming the cover52 with two fingers, the user may pull the cover 52 toward the distalside to remove the endoscope cap 50 from the distal end of the insertionpart 30 as described later.

FIG. 7 is a perspective view of the distal end of the insertion part 30from which the endoscope cap 50 is detached. The configuration of thedistal end of the insertion part 30 will now be described with referenceto FIGS. 5 to 7. The distal end portion 31 has a substantially columnarshape, and is divided into an optics housing 33 and a lever chamber 69by a groove formed from the distal side to the proximal side at aposition offset from the center. The channel outlet 35 is opened at thebottom of the groove. A bending part 27 is provided in the vicinity ofthe channel outlet 35. The shape of the bending part 27 will bedescribed later.

The distal end portion 31 has a first planar part 321 formed by cuttinga part of the circumferential surface to have a flat shape. The firstplanar part 321 is provided with a third engagement part 29 at a portionalong the bottom of a groove which separates the optics housing 33 fromthe lever chamber 69. The third engagement part 29 is an oval recess.The distal end portion 31 has a fourth engagement part 28 (see FIG. 19)at the rear side of the third engagement part 29. The fourth engagementpart 28 is a rectangular recess.

At the optics housing 33 side of the first planar part 321, theobservation window 36 and the illumination window 37 are disposed. Atthe proximal side of the observation window 36, a nozzle 38 forinjecting water and air to the observation window 36 to clean theobservation window 36 is provided. Provided outside the optics housing33 are a second planar part 322 and a third planar part 323 formed bycutting parts of the circumferential surface of the distal end portion31 to have a flat shape. The second planar part 322 and the third planarpart 323 are continuous, at an angle, with each other.

The lever chamber 69 is hollow and is covered by a lever chamber lid 67having a rectangular thin plate-like shape which is along the outerperipheral surface of the distal end portion 31. The lever chamber lid67 is fixed at four corners with lid screws 66. The lid screws are anexample of a fixing member according to the present embodiment. Thelever chamber 69 has a support wall 68 on the optics housing 33 side.The elevator connection part 61 protrudes from the support wall 68toward the optics housing 33. The elevator connection part 61 is a shafthaving a rectangular cross section. The elevator connection part 61 willbe described later.

FIG. 8 is a perspective view of the distal end of the insertion part 30from which the endoscope cap 50 and the lever chamber lid 67 aredetached. The lever 60 is located inside the lever chamber 69. The lever60 has a wire fixing part 65 at one end thereof, while having a levershaft 63 (see FIG. 19) and the elevator connection part 61 at the otherend thereof, which will be described later. The lever 60 is pivotallysupported to a hole opened at the support wall 68. It is noted that thepivot means rotary motion within a predetermined angle range.

The wire fixing part 65 is connected to an end of the elevating wire 24.The elevating wire 24 passes through the insertion part 30 and isconnected to the elevator operation lever 21 (see FIG. 1). Morespecifically, the elevating wire 24 is inserted through a guide tube(not illustrated) having an inner diameter somewhat larger than theouter diameter of the elevating wire 24. The guide tube (_(no)tillustrated) penetrates through the insertion part 30 along thelongitudinal direction. Thus, the distal end of the elevating wire 24moves back and forth in cooperation with the operation of the elevatoroperation lever 21. The elevating wire 24 is an example of the rotationpart according to the present embodiment. The elevating wire 24 isoperated remotely by the elevator operation lever 21.

As the elevator operation lever 21 moves, the elevating wire 24connected to the elevator operation lever 21 is pulled toward theproximal side. Being pulled by the elevating wire 24, the lever 60pivots around the lever shaft 63.

FIG. 9 is a perspective view of the endoscope cap 50 when viewed fromthe attachment side to the endoscope 10. FIG. 10 is a perspective viewof the endoscope cap 50 when viewed from the bottom side of the cover52. As described earlier, the endoscope cap 50 has a cover 52 and anelevator 80. The cover 52 has a bottomed cylindrical shape having anopening end at one end thereof. In the description below, the opening atone end of the cover 52 is described as an opening end 56.

As described earlier, the cover 52 has a window part 53 at thecylindrical part. The window part 53 is opened at one portion of theperipheral surface of the cover 52 along substantially the entirelength. The cover 52 has a pedestal groove 45 extending from the openingend 56 toward the bottom at an inner surface opposed to the window part53. The elevator 80 is mounted to the inside of the cover 52 through thepedestal 70 fixed to the pedestal groove 45. The pedestal 70 will bedescribed later.

The cover 52 has a plate-like protrusion 49 protruding inward along theedge on the opening end 56 side of the window part 53. A plate-likefirst engagement part 46 further protrudes from a part of the tip end ofthe protrusion 49. The protrusion 49 and the first engagement part 46are made flush along the edge of the window part 53.

FIG. 11 is a perspective view of the elevator 80. FIG. 12 is a frontview of the elevator 80. FIG. 13 is a side view of the elevator 80. Theconfiguration of the elevator 80 will be described with reference toFIGS. 11 to 13.

The elevator 80 has a substantially L-shaped elevating part 83. Theelevating part 83 has, at one surface thereof, a spoon-shaped firstelevating part 831 having a recess 84, and a second elevating part 832protruding from the edge of the first elevating part 831 on the sameside as the surface of the first elevating part 831 that has the recess84. The lever connection part 81 is located at an end of the secondelevating part 832. The lever connection part 81 is a U-shaped grooveopened toward an end of the second elevating part 832.

One side of the lever connection part 81 is covered with a plate-likeflange 85. The elevator shaft 82 protrudes from a surface of the flange85 on the opposite side. That is, the elevator shaft 82 protrudes fromone surface of the flange 85, while the elevating part 83 protrudes fromthe other surface of the flange 85 in a direction intersecting thecentral axis of the elevator shaft 82. The lever connection part 81 islocated at a base end side of the elevating part 83.

As indicated by the broken line in FIG. 13, the lever connection part 81is so disposed as to have the central axis of the elevator shaft 82therein. The flange 85 has a cylindrical surface 851 which issubstantially coaxial with the elevator shaft 82.

The second elevating part 832 has a planar second flank 87 at a portionadjacent to the surface of the first elevating part 831 that has therecess 84. The second flank 87 is a flat surface parallel to the surfacecorresponding to two vertical lines of the U-shaped lever connectionpart 81.

The second elevating part 832 has a first flank 86 between the secondflank 87 and the inlet of the lever connection part 81. The first flank86 is a flat surface disposed more toward the central axis of theelevator shaft 82 than the extended surface of the cylindrical surface851 located at the flange 85. The edge of the first flank 86 on theflange 85 side is contiguous to the cylindrical surface 851.

The second elevating part 832 has a stop surface 88 on the opposite sideof the second flank 87 across the lever connection part 81. The stopsurface 88 is a flat surface which is parallel to the second flank 87.The stop surface 88 is disposed more toward the central axis of theelevator shaft 82 than the extended surface of the cylindrical surface851. The stop surface 88 is contiguous to the inlet of the leverconnection part 81 through a substantially cylindrical pivot flank 881.

FIG. 14 is a perspective view of the pedestal 70. The configuration ofthe pedestal 70 will be described with reference to FIG. 14.

The pedestal 70 has a rectangular plate-like foundation 95 and asubstantially rectangular plate-like first wall 77 extending along thelongitudinal direction of the foundation 95 from a support foot risingfrom the middle part in the longitudinal direction of the foundation 95.

Furthermore, from the foundation 95, a substantially rectangularplate-like second wall 78 rises in parallel to the first wall 77. Thefirst wall 77 and the second wall 78 are separated from each other inthe width direction of the foundation 95. The second wall 78 has asecond wall end face 781 which is parallel to the foundation 95. Thesecond wall end face 781 is located more toward the foundation 95 thanthe edge of the first wall 77.

To the end of the first wall 77, a rectangular plate-like third wall 79which bridges the first wall 77 and the second wall 78 is connected. Thethird wall 79 is provided with a first fixing projection 73 on a surfaceopposite from the first wall 77. The first fixing projection 73 is aprojection having an expanding slot. The first fixing projection 73 has,at an end thereof, a retainer with a diameter one size larger than thatof the projection 73.

The foundation 95 has a thick part 74 at one end thereof in thelongitudinal direction, and has a second engagement part 72 bulged in asubstantially semicircular shape at the opposite end thereof. The thickpart 74 is opposed to the first wall 77.

The first wall 77 has an elevator attachment hole 76 at the root. Theelevator shaft 82 of the elevator 80 described with reference to FIGS.11 to 13 is inserted into the elevator attachment hole 76, to combinethe elevator 80 and the pedestal 70 together so as to be pivotable.

FIG. 15 is a front view of the elevator 80 and the pedestal 70 combinedtogether. FIG. 16 is a back view of the elevator 80 and the pedestal 70combined together. The configuration of the elevator 80 and the pedestal70 that are combined together will be described with reference to FIGS.15 and 16.

As described earlier, the elevator shaft 82 is inserted into theelevator attachment hole 76. The elevator attachment hole 76 serves as abearing, so that the elevator 80 may be pivotable about the elevatorshaft 82. The flange 85 is held between the first wall 77 and the secondwall 78. The flange 85 and the second wall 78 serve as a stopper, whichprevents the elevator 80 from coming off the pedestal 70.

The flange 85 is an example of a plate-like part. Since one side surfaceof the lever connection part 81 is connected by the flange 85, suchdeformation that the lever connection part 81 opens may be prevented.Thus, the elevator 80 having a high strength may be achieved.

The stop surface 88 is opposed to the second wall end face 781. In thecase where a force in the direction of clockwise rotation in FIG. 16about the elevator shaft 82 is applied to the elevator 80, the stopsurface 88 makes contact with the second wall 78 to prevent the elevator80 from rotating. Meanwhile, since the opening end 56 side of the stopsurface 88 is contiguous to the inlet of the lever connection part 81through the substantially cylindrical pivot flank 881, the elevator 80is able to rotate in the anticlockwise direction in FIG. 16 about theelevator shaft 82.

Description continues with reference to FIG. 9 again. The pedestal 70 isinserted into the cover 52 from the first fixing projection 73 sidewhile the elevator 80 is pivotally attached to the elevator attachmenthole 76. The foundation 95 of the pedestal 70 is fixed to the pedestalgroove 45.

FIG. 17 is a section view of an endoscope cap 50 taken along the lineXVII-XVII in FIG. 5. The XV-XV section is a cross section of the firstwall 77 cut in the thickness direction along the longitudinal directionof the insertion part 30. The configuration of the endoscope cap 50 willbe described with reference to FIGS. 9 to 17.

As illustrated in FIG. 17, the cover 52 has a pedestal fixing hole 57and a second fixing projection 58. The pedestal fixing hole 57 is athrough hole opened at the bottom of the cover 52. The second fixingprojection 58 is a projection which projects from an end of the pedestalgroove 45 toward the opening end 56 side.

Since the first fixing projection 73 and the thick part 74 describedwith reference to FIG. 14 are engaged with the pedestal fixing hole 57and the second fixing projection 58, respectively, the elevator 80 andthe pedestal 70 may be fixed to each other inside the cover 52. Therecess 84 is opposed to the window part 53.

As indicated by a dashed-two dotted line in FIG. 17, the elevator 80 maypivot about the elevator shaft 82 to a position where the edge of theelevating part 83 makes contact with the stopper 531. In the descriptionbelow, the pivotable angle of the elevator 80 will be described as anangle Z.

FIG. 18 is a perspective view of the lever 60. The lever 60 has a levershaft 63 at one end thereof and a wire fixing part 65 at the other endthereof. The wire fixing part 65 is provided with an expanding slot. Theelevator connection part 61 which is a shaft with a rectangular crosssection protrudes from one end face of the lever shaft 63 in the samedirection as the central axis of the lever shaft 63. In the descriptionbelow, a plate-like portion which connects the lever shaft 63 and thewire fixing part 65 will be described as a pivot connection part 64. Thepivot connection part 64 protrudes from the other end of the lever shaft63 that is opposite from the elevator connection part 61 in a directionintersecting the central axis of the lever shaft 63. As illustrated inFIG. 8, the pivot connection part 64 pivots in the lever chamber 69.That is, the lever 60 is provided at the distal end of the insertionpart 30 of the endoscope 10 so as to be pivotable about the lever shaft63.

Two O-rings 62 are fixed to the lever shaft 63. Description continueswith reference to FIG. 7 again. In the lever 60, the lever shaft 63 isinserted into a hole opened at the support wall 68 from the leverchamber 69 side, and is so supported as to be pivotable while theelevator connection part 61 faces the optics housing 33. The O-rings 62and the lever chamber lid 67 seal the hollow lever chamber 69 in awater-tight manner.

FIG. 19 is a section view of the insertion part 30 taken along the lineXIX-XIX in FIG. 4. The XIX-XIX section is a cross section which passesthe elevator connection part 61 along the longitudinal direction of theinsertion part 30. FIG. 20 is a section view of the insertion part 30taken along the line XX-XX in FIG. 4. The XX-XX section is a crosssection which passes the edge of the fourth engagement part 28 on theproximal side and the third engagement part 29, and is perpendicular tothe insertion part 30 in the longitudinal direction. The configurationwhere the endoscope cap 50 is fixed to the distal end of the insertionpart 30 will be described with reference to FIGS. 19 and 20.

The endoscope cap 50 has the opening end 56 facing the insertion part30. The first engagement part 46 at the inner surface of the endoscopecap 50 is engaged with the third engagement part 29 of the distal endportion 31. Likewise, the second engagement part 72 at the inner surfaceof the endoscope cap 50 is engaged with the fourth engagement part 28 ofthe distal end portion 31. The endoscope cap 50 is engaged with thedistal end portion 31 at two opposed positions at the inner surface, soas to be fixed to the distal end portion 31.

As illustrated in FIG. 19, the first engagement part 46 is disposed moretoward the opening end 56 side than the second engagement part 72.Furthermore, the first engagement part 46 and the third engagement part29 are engaged by their flat surfaces abutting against each other, whilethe second engagement part 72 is engaged with the fourth engagement part28 at its rounded surface. Thus, the first engagement part 46 is moresecurely engaged with the distal end portion 31 compared to the secondengagement part 72.

The elevator connection part 61 which is a shaft having a rectangularcross section is inserted into the lever connection part 81 of aU-shaped groove. Thus, the lever 60 and the elevator 80 are engaged witheach other. As described above, when the endoscope cap 50 is mounted tothe distal end portion 31 of the endoscope 10, the elevator 80 isconnected to the lever 60. Connection here means the state where theelevator 80 and the lever 60 pivot together if the lever 60 pivots.

As illustrated in FIG. 20, the inner surface of the cylindrical part ofthe cover 52 is opposed to the second planar part 322 and the thirdplanar part 323 with a space in between, to form a first cavity part 93.The concave part 48 is located at a position corresponding to the firstcavity part 93. At the opposite side of the concave part 48, the cover52 is made thinner by making a dent at the inner surface of thecylindrical part. The inner surface of the thin part of the cover 52 andthe lever chamber lid 67 are opposed to each other with a space inbetween, to form a second cavity part 94. The heads of lid screws 66 aredisposed in the second cavity part 94. That is, the second cavity part94 is a space that accommodates the head of each lid screw 66 which is afixing member for fixing the lever chamber lid 67.

As indicated by the outlined arrow in FIG. 20, the user presses twoportions, i.e. the concave part 48 and the part opposite thereto, withfingers. Since the first cavity part 93 and the second cavity part 94are present at the rear sides of the pressed portions, the cover 52 isdeformed into a substantially elliptical shape with its short axiscorresponding to the pressing direction and its long axis correspondingto the direction orthogonal to the pressing direction.

The first engagement part 46 and the second engagement part 72 describedearlier are located near a portion corresponding to the long axis of thedeformed cover 52. By the endoscope cap 50 being deformed, the firstengagement part 46 and the second engagement part 72 move outward,respectively, to release the engagement between the third engagementpart 29 and the fourth engagement part 28. As described earlier, theconcave part 48 is thinner than the other parts of the cover 52 in thecircumferential direction, and is a flexible part which is easily flexedby, for example, being pressed with a finger. This allows the user toeasily deform the endoscope cap 50.

When the user pulls the endoscope cap 50 to the distal side whilepressing it, the engagement between the lever connection part 81 and theelevator connection part 61 is released so that the endoscope cap 50 maybe detached from the distal end of the insertion part 30. As illustratedin FIG. 4, the concave part 48 has a side orthogonal to the insertiondirection. This allows the user to hook his/her finger on the edge ofthe concave part 48, which facilitates the removal of the endoscope cap50.

It is noted that the user is able to attach the endoscope cap 50 to theinsertion part 30 by pushing the endoscope cap 50 into the distal end ofthe insertion part 30 after confirming that the lever connection part 81and the elevator connection part 61 are properly oriented. Asillustrated in FIG. 19, the first engagement part 46 is chamfered at theopening end 56 side, which facilitates the attachment because the firstengagement part 46 is not easily caught at the distal end portion 31.

As illustrated in FIG. 19, a tubular channel 34 is connected to thechannel outlet 35 located at the distal end portion 31. The channeloutlet 35 expands toward the window part 53 in a trumpet shape. Abending part 27 which gently protrudes toward the distal side isprovided in the vicinity of the third engagement part 29 of the channeloutlet 35.

FIG. 21 is a section view of the insertion part 30 in which the elevator80 is elevated. FIG. 21 shows the same cross section as FIG. 19. Theconfiguration of the elevator 80 being elevated will be described withreference to FIGS. 7, 8, 18, 19 and 20.

The lever shaft 63 is inserted into the through hole opened at thesupport wall 68 from the lever chamber 69 side, and the elevatorconnection part 61 protrudes from the opposite side of the support wall68 as illustrated in FIG. 7. As described earlier, the lever chamber 69is sealed to be water tight by the O-rings 62 and the lever chamber lid67 (see FIG. 5). Therefore, the inside of the lever chamber 69 as wellas the path of the elevating wire 24 may be prevented from body fluid orthe like being adhered during use of the endoscope 10.

In the state illustrated in FIG. 19, the elevator 80 is accommodatedinside the cover 52. The recess 84 is located at a position that allowsthe treatment tool tip end 41 protruding from the channel outlet 35 tobend gently upward in FIG. 19.

As described earlier, by the user operating the elevator operation lever21, the lever 60 pivots about the lever shaft 63. The elevatorconnection part 61 pivots integrally with the lever shaft 63. Since theelevator connection part 61 is connected to the lever connection part81, the elevator 80 also pivots to rise together with the lever 60. As aresult, the distance between the elevator 80 and the window part 53changes.

FIG. 21 illustrates the state where the elevator 80 is pivoted. Beingpushed by the elevator 80, the treatment tool tip end 41 protruding fromthe channel outlet 35 is elevated. From the state of being pressedagainst the tip end of the bending part 27, the treatment tool tip end41 is further pressed to the proximal side by the recess 84. This allowsthe treatment tool tip end 41 to bend at an angle larger than thepivotable angle Z of the elevator 80 as described with reference to FIG.17.

A method of using the endoscope 10 according to the present embodimentwill now be summarized. The endoscope 10 is stored in a state where theendoscope cap 50 is removed and is subjected to cleaning or the like.The endoscope cap 50 is enclosed in a sterile package one by one and,for example, ten such packages are put into a paper box which is thensterilized with electron beam. The number of the endoscope caps 50 to beput into a paper box may preferably be a minimum sales unit, i.e. aminimum sales unit to be sold to a user at a time. The user takes outthe endoscope cap 50 from the sterile package and attaches the cap 50 tothe distal end portion 31 of the endoscope 10.

The user inserts the insertion part 30 through the mouth of a subjectfor examination. While viewing a video image photographed via theobservation window 36, the user guides the distal end of the insertionpart 30 to a target site. The user inserts the treatment tool 40 or thelike according to a purpose through the channel inlet 22. Afterconfirming that the treatment tool tip end 41 protrudes from the distalend of the insertion part 30 and is located near the target site, theuser operates the elevator operation lever 21 to guide the treatmenttool tip end 41 to the target site. The user performs a necessarytreatment or the like and then pulls out the treatment tool 40 from thechannel 34. The user pulls out the endoscope 10 from the subject, andterminates the examination or treatment.

The cover 52 may easily be detached by being pulled to the distal sidewhile being pressed with two fingers as described earlier. The endoscopecap 50 according to the present embodiment is so-called single use, andis discarded after one use.

In the case of observation and treatment using the endoscope 10 in anormal way, it is unlikely that an external force that is strong enoughto deform the cover 52 is applied to two portions of the cover 52 at thesame time.

The user performs a process such as cleaning on the endoscope 10 afterthe endoscope cap 50 is removed, to prepare for the next use. Asillustrated in FIG. 7, the endoscope 10 after the endoscope cap 50 isremoved has no elevator 80. The elevator connection part 61 used whenthe elevator 80 is fixed is exposed at the distal end portion 31, asillustrated in FIG. 7.

Accordingly, the endoscope 10 according to the present embodimentrequires no special cleaning work for cleaning the complicated structurearound the elevator 80 and the elevating wire 24. It is thus possible toprovide the endoscope 10 with the elevator that has short process timebetween cases and that may efficiently be operated.

The stop surface 88 may not necessarily be parallel to the surfacecorresponding to two U-shaped vertical lines of the lever connectionpart 81. For example, in the case where the stop surface 88 is inclinedtoward the lower left in FIG. 19, the elevator 80 is able to rotate inthe anti-clockwise direction from the state illustrated in FIG. 19. Thiscan provide the endoscope 10 into which the treatment tool 40 may beinserted without greatly bending the treatment tool tip end 41.

In the case of elevating a highly rigid treatment tool 40, the elevatingpart 83 is pushed back by the force of the treatment tool 40 recoveringto a straight state. Here, a twisting force in the anticlockwisedirection in FIG. 21 about the second engagement part 72 is applied tothe endoscope cap 50.

As described earlier, the first engagement part 46 is located closer tothe opening end 56 compared to the second engagement part 72 and is morefirmly engaged with the distal end portion 31 compared to the secondengagement part 72, so that the endoscope cap 50 is unlikely to come offthe insertion part 30. It is further possible to prevent the endoscopecap 50 from coming off the insertion part 30 by making the amount ofprotrusion of the first engagement part 46 larger than that of thesecond engagement part 72.

The endoscope 10 according to the present embodiment is provided withthe elevator 80 and is of the side view type, which makes it suitablefor diagnosis and treatment of duodenum and pancreaticobiliary ductareas. In particular, for the case of performing procedures such asendoscopic retrograde cholangio pancreatography (ERCP), endoscopicsphincterotomy (EST), endoscopic biliary drainage (EBD) and so forth,the endoscope 10 according the present embodiment is suitable. This isbecause, in these procedures, treatment or the like is performed byguiding the treatment tool 40 into the duodenum papilla on the duodenalwall as well as the pancreas duct, common bile duct and the like thatare opened at the duodenum papilla.

The endoscope 10 of the side view type may also be referred to as a sideview endoscope. Likewise, the endoscope 10 suitable for diagnosis or thelike of the duodenum and pancreaticobiliary duct areas may also referredto as a duodenoscope.

According to the present embodiment, since the pedestal 70 and the cover52 are separate members, their respective shapes are simple. It is thuspossible to manufacture the components at lower cost by means of, forexample, injection molding.

For the pivot part, an extendable shape memory alloy (SMA) actuator mayalso be employed instead of the elevating wire 24. In such a case, oneend of the SMA actuator is fixed to the wire fixing part 65 whereas theother end thereof is fixed to the distal end portion 31. A heater isplaced around the SMA actuator. The heater is configured to operate inconjunction with the movement of the elevator operation lever 21.

As the heater operates and the SMA actuator contracts, the lever 60 andthe elevator 80 pivot. For the pivot part, any other linear actuator mayalso be employed.

A pivoting actuator such as a small motor may also be employed for thepivot part. The small motor is disposed in the lever chamber 69, and themotor shaft and the lever shaft 63 may be connected with each other toallow the lever 60 to pivot.

In the case where an actuator is employed for the pivot part, theelevator 80 may be operated by a means not using a hand of the user,such as voice control, for example.

The endoscope cap 50 may also be provided in the state where theelevator 80 and the cover 52 or the pedestal 70 are temporarily fixed toeach other by an adhesive material or the like while the leverconnection part 81 faces the opening end 56. Accordingly, the endoscopecap 50 which is used in a simple manner may be provided whileeliminating the trouble of confirming the orientation of the elevator 80before the endoscope cap 50 is attached to the insertion part 30.

It is also possible for the user to select and use an endoscope cap 50with a specification according to a procedure from multiple types ofendoscope caps 50 with different specifications. For example, anendoscope cap 50 provided with a stopper that restricts the pivotalrange of the elevator 80 to be narrow may also be provided. In the caseof using a combination of expensive and precise instruments such as anultrasound probe or ultra-slim endoscope, for example, the narrowing ofthe pivotal range may prevent such instruments from being damaged byexcessive bending.

In the case where the recess 84 has a shape contoured to the profile ofthe treatment tool tip end 41, the treatment tool 40 is unlikely to swayto the left and right at elevation, and thus tends to be easilyoperated. Multiple types of endoscope caps 50 having elevators 80 withrecesses 84 of different shapes may be provided. For example, anendoscope cap 50 with a recess 84 having a shape that can easily hold athin treatment tool 40 may be used to facilitate precise operation ofthe thin treatment tool 40 such as a guide wire.

Accordingly, the endoscope 10 for which the user may select and use theendoscope cap 50 suitable for a purpose may be provided.

The endoscope 10 may be a so-called ultrasound endoscope provided withan ultrasound transducer at the distal end. Here, the endoscope cap 50may preferably have a hole at the bottom through which the ultrasoundtransducer is inserted. The endoscope 10 may also be an endoscopedirected to a lower gastrointestinal tract. The endoscope 10 may also bea so-called rigid endoscope provided with a rigid insertion part 30. Theendoscope 10 may also be a so-called industrial endoscope used forinspection of engine, pipework and so forth.

The endoscope cap 50 may be reusable. In such a case, the user visuallychecks the endoscope cap 50 removed from the insertion part 30 and, ifit is not broken, reuses the cap 50 after performing a process such ascleaning. Since the opening end 56 of the endoscope cap 50 is wide open,a process such as cleaning may more easily be performed compared to thestate where the endoscope cap 50 stays attached to the insertion part30. Because of its small size, the endoscope cap 50 may easily be putinto a sterile package for autoclave sterilization, for example.

The endoscope 10 may be provided with a fixing mechanism which fixes theelevator operation lever 21 at an arbitrary angle. The user is able torelease his/her finger from the elevator operation lever 21 afterelevating the treatment tool tip end 41 at a desired angle so as toconcentrate on the operation of the bending knob 23 or the like.

Embodiment 2

The present embodiment relates to an endoscope 10 in which the thirdengagement part 29 is a projection. Portions common to those inEmbodiment 1 will not be described here.

FIG. 22 is a section view of an insertion part 30 according toEmbodiment 2. FIG. 22 illustrates a cross section, as in FIG. 19, whichpasses the elevator connection part 61 and which is along thelongitudinal direction of the insertion part 30. FIG. 23 is a sectionview of the insertion part 30 taken along the line XXIII-XXIII in FIG.22.

The third engagement part 29 is a projection which protrudes from thefirst planar part 321. The first engagement part 46 is a recess formedat the protrusion 49 on the window part 53 side. The first engagementpart 46 is engaged with the third engagement part 29 of the distal endportion 31. Moreover, the second engagement part 72 is engaged with thefourth engagement part 28 as in Embodiment 1. The endoscope cap 50 isengaged with the distal end portion 31 at two opposed positions at theinner surface, so as to be fixed to the distal end of the insertion part30.

The first engagement part 46 and the third engagement part 29 may employany shapes that may be engaged with each other. The second engagementpart 72 and the fourth engagement part 28 may also employ any shapesthat may be engaged with each other.

Embodiment 3

The present embodiment relates to an endoscope 10 having an elevatorconnection part 61 tapered from the proximal side to the distal sidealong the insertion direction. Portions common to those in Embodiment 1will not be described here.

FIG. 24 is a section view of an insertion part 30 according toEmbodiment 3. FIG. 24 illustrates a cross section, as in FIG. 19, whichpasses the elevator connection part 61 and which is along thelongitudinal direction of the insertion part 30. As illustrated in FIG.24, the elevator connection part 61 has a wedge shape with its distalside thinner than the proximal side. Moreover, the lever connection part81 has a V shape expanding toward the proximal side.

According to the present embodiment, as the inlet of the leverconnection part 81 is expanded while the elevator connection part 61 istapered, the endoscope 10 in which the lever connection part 81 and theelevator connection part 61 may easily be engaged with each other evenfrom the state where the elevator 80 has somewhat pivoted may beprovided.

The elevator connection part 61 and the lever connection part 81 mayemploy any shapes that may be engaged with each other.

Embodiment 4

The present embodiment relates to an endoscope 10 having indices aroundthe distal end of the insertion part 30 and at the endoscope cap 50,respectively. Portions common to those in Embodiment 1 will not bedescribed here.

FIG. 25 is a front view of the distal end of an insertion part 30according to Embodiment 4. The insertion part 30 has a first index 261.The first index 261 is formed on the surface of a flexible tube whichcovers the surface of the bending section 13 by printing, lasermachining or the like.

The cover 52 has a second index 262 in the vicinity of the opening end56. The second index 262 is a recess or a projection integrally formedat the surface of the cover 52. The second index 262 may be formed onthe surface of the cover 52 by printing, laser machining or the like.The second index 262 may be formed at or near the opening end 56 by acutting work or the like.

According to the present embodiment, the user of the endoscope 10 isable to attach the endoscope cap 50 promptly and in proper orientationby pushing the endoscope cap 50 onto the distal end of the insertionpart 30 while the first index 261 and the second index 262 are alignedin the circumferential direction. Furthermore, the user may visuallychecks if the first index 261 and the second index 262 are in closecontact with each other as illustrated in FIG. 25, to confirm that theendoscope cap 50 is inserted all the way to a predetermined position.

The first index 261 and the second index 262 may have any shape, sizeand so forth.

Embodiment 5

The present embodiment relates to an endoscope 10 which uses the shapeof the endoscope cap 50 itself in place of the second index 262.Portions common to those in Embodiment 4 will not be described here.

FIG. 26 is a front view of the distal end of an insertion part 30according to Embodiment 5. The insertion part 30 has a first index 261.

In the present embodiment, a concave part 48 formed at the surface ofthe cover 52 is used in place of the second index 262 in Embodiment 4.

According to the present embodiment, the user of the endoscope 10 isable to attach the endoscope cap 50 promptly and in proper orientationby pushing the endoscope cap 50 onto the distal end of the insertionpart 30 while the first index 261 and the concave part 48 are aligned inthe circumferential direction. Furthermore, the user may visually checksif the opening end 56 and the first index 261 are in close contact witheach other as illustrated in FIG. 25, to confirm that the endoscope cap50 is inserted all the way to a predetermined position.

The first index 261 may have any shape, size and so forth. An arbitraryportion of the cover 52, such as the edge of the window part 53, may beused in place of the second index 262.

The technical features (components) described in each example embodimentmay be combined with one another, and such combinations may form newtechnical features.

It should be understood that the embodiments disclosed herein areillustrative and non-restrictive in every respect. Since the scope ofthe present disclosure is defined by the appended claims rather than bythe description preceding them, all changes that fall within metes andbounds of the claims, or equivalence of such metes and bounds thereofare therefore intended to be embraced by the claims.

In relation to the embodiments including Embodiments 1 to 5 describedabove, the following clauses will further be disclosed.

1. An endoscope cap attachable to and detachable from an endoscopeincluding a lever pivotally provided at a distal end of an insertionpart of an endoscope and a pivot part causing the lever to pivot,comprising:

a bottomed cylindrical cover having an opening end which is attachableto and detachable from a distal end of an insertion part of theendoscope;

a first engagement part provided at an inner surface of a cylindricalpart of the cover; and

an elevator having a lever connection part connected to the lever andfixed to an inside of the cover so as to be pivotable.

2. The endoscope cap according to clause 1, wherein the first engagementpart is a projection protruding to the inside of the cover.

3. The endoscope cap according to clause 2, wherein

the cover has a window part opened at the cylindrical part, and

the projection is formed at a part closer to an opening end sidecompared to the window part.

4. The endoscope cap according to clause 3, wherein the projection isformed at an edge of the opening part on the opening end side.

5. The endoscope cap according to any one of clauses 2 to 4, wherein

the insertion part of the endoscope has a distal end provided with aconcave third engagement part, and

the first engagement part is engaged with the third engagement part.

6. The endoscope cap according to any one of clauses 2 to 5, furthercomprising a second engagement part opposed to the first engagementpart.

7. The endoscope cap according to clause 6, further comprising

a pedestal fixed to the inside of the cover and having an elevatorattachment hole for pivotally fixing the elevator,

wherein the second engagement part is a projection formed at thepedestal.

8. The endoscope cap according to clause 7, wherein the first engagementpart has an amount of protrusion larger than an amount of protrusion ofthe second engagement part.

9. The endoscope cap according to any one of clauses 6 to 8, wherein thefirst engagement part is formed closer to the opening end side comparedto the second engagement part.

10. The endoscope cap according to any one of clauses 7 to 9, wherein

the insertion part of the endoscope has a distal end provided with aconcave fourth engagement part, and

the second engagement part is engaged with the fourth engagement part.

11. The endoscope cap according to any one of clauses 5 to 10,

further comprising

a cavity part formed between an inner surface of a cylindrical part ofthe cover and the insertion part when the insertion part is insertedinto the cover,

wherein the first engagement part presses the cover from the outside ofthe cavity part so as to release engagement with the insertion part.

12. The endoscope cap according to clause 1, wherein the firstengagement part corresponds to a concave part located at an innersurface of the cover.

13. An endoscope, comprising:

a pivotable elevator connection part exposed to a surface of a distalend of an insertion part;

an endoscope cap including: a bottomed cylindrical cover that has anopening end and is capable of attaching and detaching the opening end toand from the insertion part; a first engagement part located at an innersurface of the cylindrical part of the cover; and an elevator that has alever connection part connected to the elevator connection part and thatis pivotally fixed to an inside of the cover;

a third engagement part provided at the insertion part and engaged withthe first engagement part; and

a cavity part formed between the inner surface of the cylindrical partof the cover and the insertion part.

14. The endoscope according to clause 13, wherein

the first engagement part is released from the third engagement part bypressing the cover from an outside of the cavity part.

15. The endoscope according to clause 13 or 14, wherein

the elevator connection part protrudes from a hollow lever chamberprotruding from a part of the distal end of the insertion part in aninsertion direction,

the lever chamber is covered with a plate-like lever chamber lid, and

the cavity part is provided between the lever chamber lid and the cover.

16. The endoscope according to clause 15, comprising

a fixing member fixing the lever chamber lid, wherein

the fixing member includes a head protruding from a surface of the leverchamber lid, and

the head is located inside the cavity part.

17. The endoscope according to any one of clauses 13 to 16, wherein

the cavity part is provided at two opposed positions across theinsertion direction.

18. The endoscope according to any one of clauses 13 to 17, wherein theelevator connection part is thinner at a distal side compared to aproximal side along the insertion direction.

19. The endoscope according to any one of clauses 13 to 18, wherein

the distal end of the insertion part has a first index, and

the endoscope cap has a second index corresponding to the first index.

20. A method of detaching an endoscope cap, comprising:

gripping an insertion part of an endoscope having a pivotable elevatorconnection part exposed to a surface of the insertion part;

pressing the endoscope cap including: a bottomed cylindrical cover thathas an opening end, is capable of attaching and detaching the openingend to and from the insertion part, and has a cavity part between thecover and the distal end of the insertion part of the endoscope whenattached; a first engagement part located at an inner surface of acylindrical part of the cover; and an elevator that has a leverconnection part connected to the elevator connection part and that ispivotally fixed to an inside of the cover, at two opposed positionsoutside the cylindrical part of the cover; and

pulling the endoscope cap toward a distal side along an insertiondirection.

1. An elevator attachable to and detachable from an endoscope having apivotable lever provided at a distal end of an insertion part of theendoscope, the elevator comprising: a first elevating part having arecess at one surface thereof; a second elevating part protruding froman edge of the first elevating part; and a lever connection part locatedat the second elevating part and at an end of the elevator andconfigured to engage with the lever.
 2. The elevator according to claim1, wherein the lever connection part is a U-shaped groove having anopening at a side of the second elevating part opposite the firstelevating part, and the second elevating part has a plate-like partcovering one end face of the groove.
 3. The elevator according to claim1, comprising an elevator shaft pivotally attachable to an elevatorattachment hole formed inside a bottomed cylindrical cover attachable toand detachable from a distal end of the endoscope.
 4. An endoscope,comprising: a pivotable elevator connection part extending from asurface of a distal end of an insertion part of the endoscope; and anelevator including a first elevating part having a spoon-shaped recessat one surface thereof, a second elevating part protruding at a sameside as the recess from an edge of the first elevating part, and a leverconnection part located at the second elevating part and at an end ofthe elevator and engaged with the elevator connection part.
 5. Theendoscope according to claim 4, wherein the elevator has an elevatorshaft pivotally attached to an elevator attachment hole formed inside abottomed cylindrical cover attached to a distal end of the endoscope. 6.The elevator according to claim 2, comprising an elevator shaftpivotally attachable to an elevator attachment hole formed inside abottomed cylindrical cover attachable to and detachable from a distalend of the endoscope.
 7. The elevator according to claim 1, wherein therecess is spoon-shaped.
 8. The elevator according to claim 2, whereinthe recess is open in a direction perpendicular to an opening directionof the U-shaped groove.
 9. The elevator according to claim 8, wherein anaxis of the elevator shaft is perpendicular to the opening direction ofthe U-shaped groove.
 10. The elevator according to claim 3, wherein therecess is open in a direction perpendicular to an axis of the elevatorshaft.
 11. The elevator according to claim 6, wherein an axis of theelevator shaft is perpendicular to an opening direction of the U-shapedgroove.
 12. The endoscope according to claim 4, wherein the leverconnection part is a groove shaped to receive the elevator connectionpart.
 13. The endoscope according to claim 12, wherein the secondelevating part has a plate-like part covering one end face of thegroove.
 14. The endoscope according to claim 5, wherein the leverconnection part is a groove shaped to receive the elevator connectionpart, and wherein an axis of the elevator shaft is perpendicular to anopening direction of the groove.
 15. An endoscope cap attachable to anddetachable from a distal end of an insertion part of an endoscope thathas a pivotable lever, the endoscope cap comprising: a wall inside theendoscope cap that has a hole; and an elevator having an elevator shaftthat is pivotally held by the hole, the elevator comprising: a firstelevating part having a recess at one surface thereof; a secondelevating part extending from the first elevating part; and a leverconnection part located on a first side of the second elevating part,facing away from the recess, and shaped to engage the pivotable lever,wherein the elevator shaft extends from a second side of the secondelevating part opposite the first side.
 16. The endoscope cap accordingto claim 15, wherein the recess is spoon-shaped.
 17. The endoscope capaccording to claim 15, wherein the lever connection part is a grooveshaped to receive the pivotable lever.
 18. The endoscope cap accordingto claim 17, wherein the second elevating part has a plate-like partcovering one end face of the groove.
 19. The endoscope cap according toclaim 17, wherein the recess is open in a direction perpendicular to anaxis of the elevator shaft.
 20. The endoscope cap according to claim 19,wherein the axis of the elevator shaft is perpendicular to an openingdirection of the groove.